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Contact Details
Title ^*
If other, please state
First Name ^*
Surname ^*
Address Line 1 ^*
Address Line 2
Address Line 3
Town/City
County
Postal Code ^*
Telephone Number
E-mail

Is the waste coming from the above address? ^*

Yes

Address Waste Coming From
Address Line 1 ^*
Address Line 2
Address Line 3
Town/City
County
Postal Code ^*

Please select the Household Waste Recovery Centre that you wish to visit ^*

Is this Domestic Waste Only? ^*

Yes

No. of visits ^*

Please state the approximate date(s) that you intend to visit the site

Visit 1 (date) ^*

Visit 2 (date) ^*

Visit 3 (date) ^*

Visit 4 (date) ^*

Visit 5 (date) ^*

Visit 6 (date) ^*

Visit 7 (date) ^*

Visit 8 (date) ^*

Please describe the items of waste that you want to dispose of and the approximate quantities e.g. A table, 6 black sacks of recyclable green waste.

Vehicle: Make, Model and Colour ^*

(To exclude double-wheel base vehicles, telephone for guidance)

Vehicle Registration : ^*

If using a trailer please confirm its length :

Declaration
The waste that I wish to deposit is from my own household and I am insured to use the described vehicle

Declare ^*

Yes

NB All sections must be completed before this permit application will be processed.
Waste Management Team Telephone (01670) 534047 or Fax (01670) 534069

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Contact Details